Sleep apnea may be associated with suicidal ideation in adolescents
Journal
European child & adolescent psychiatry
Journal Volume
28
Journal Issue
5
Pages
635-643
Date Issued
2019-05
Author(s)
Abstract
Suicide is a major threat to adolescent health. Sleep problems increase the risk of adolescent suicidal behavior, but the role of sleep-disordered breathing (e.g., sleep apnea) is unclear. We investigated whether sleep apnea had an effect on suicidal ideation that was independent of depression and perceived stress. We examined a series of sleep variables with suicidal ideation in 746 fifth and seventh graders using self-reported questionnaires to assess time in bed, sleep quality, insomnia, and sleep apnea while controlling depression and perceived stress. Overall, 8.8% of students aged 10-14 years reported having recent suicidal ideation, and 33% or 3.8%, depending on the screening criteria, reported having suspected sleep apnea. The sleep variables were all associated with an increased risk of suicidal ideation, but the magnitude of effects was largely attenuated when depression and perceived stress were included in the models. Suspected sleep apnea using daytime sleepiness as a screening criterion was independently associated with suicidal ideation (odds ratio = 2.25, p < 0.05). Suspected sleep apnea was associated with suicidal ideation that was partly independent of depression and stress, which reveals the pertinence of screening for sleep apnea among school students and designing proper prevention strategies for reducing youth suicidal behavior.
Subjects
Adolescents; Sleep; Sleep apnea; Suicidal ideation
Other Subjects
adolescence; adolescent; apnea hypopnea index; Article; assessment of humans; Center for Epidemiological Studies Depression Scale; child; child health; Chinese; chinese version of the pittsburg sleep quality index; cognitive behavioral therapy; cross-sectional study; daytime somnolence; depression; disease association; elementary student; Epworth sleepiness scale; female; human; insomnia; major clinical study; male; medical examination; mental health; Perceived Stress Scale; Pittsburgh Sleep Quality Index; positive end expiratory pressure; risk factor; self report; sleep; sleep disordered breathing; sleep quality; stress; suicidal ideation; Taiwanese; adolescent behavior; complication; psychology; school; sleep disordered breathing; suicide; Adolescent; Adolescent Behavior; Child; Female; Humans; Male; Schools; Sleep Apnea Syndromes; Suicidal Ideation; Suicide
Publisher
SPRINGER
Type
journal article